Donor site morbidity after rectus abdominis muscle flaps

Donor site morbidity after rectus abdominis muscle flaps Twenty-three patients with 25 rectus abdominis muscle flaps are presented and the donor site morbidity is discussed. There was no flap loss. Donor site morbidity included two hernias after bilateral free TRAM flaps and one abdominal bulging after a free rectus muscle flap. A literature review reveals the latter to be under 10% with no difference between pedicled and free TRAM or free rectus muscle flaps; synthetic mesh offers no advantage. Abdominal strength decreases significantly after bilateral pedicled TRAM flaps, but to a lesser degree after unilateral cases when tested functionally. However, most patients are not handicapped in normal life. Pregnancy after TRAM flaps does not necessarily place the abdominal wall at risk. Age has no effect on complications but obesity does have a minor affect on abdominal wall morbidity. The free TRAM flap is better than the pedicled TRAM with regards to post-abdominoplasty necrosis, duration of hospitalization and return to baseline functional status. Skin edge necrosis, umbilical necrosis, infection and hematoma occur in 1–5% of cases. Smoking increases the risk of skin and umbilical necrosis, more so in pedicled TRAM flaps. European Journal of Plastic Surgery Springer Journals

Donor site morbidity after rectus abdominis muscle flaps

Loading next page...
Copyright © 1997 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial